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General NPI Number Information
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NPI Number | 1669810693
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Entity Type | Individual
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Provider Name | JORGE JAVIER VALLE DMD, MD
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Gender | Male
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Dates
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Enumeration Date | 06/12/2013
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Last Update Date | 02/20/2026
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Provider Practice Location Address
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Address Line | 1640 N MAITLAND AVE # 1000
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City | MAITLAND
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State | FL
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Zip | 32751-3320
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Country | US
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Telephone | 407-900-3366
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Fax |
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Provider Business Mailing Address
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Address Line | 1640 N MAITLAND AVE # 1000
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City | MAITLAND
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State | FL
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Zip | 32751-3320
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Country | US
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Telephone | 407-900-3366
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Fax | 321-800-9394
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | ME137974
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number | DN20336
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License Number State | FL
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